Organization
PREMIER PHARMACY AND WELLNESS CENTER LLC
Active
Other names
Premier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTEZ LAVARD PRINCE PHARMD (OWNER/PHARMACYMANAGER)
(704) 940-0637
Entity
Organization
Contact information
Practice address
3010 MONROE RD, SUITE 101, CHARLOTTE, NC 28205-7532
(772) 834-4707
Mailing address
3010 MONROE RD STE 101, CHARLOTTE, NC 28205-7533
(704) 496-9182
(704) 496-9903
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12668
NC
Other
Enumeration date
06/17/2015
Last updated
07/13/2022
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